儿童非霍奇金淋巴瘤肾脏浸润的CT检查价值  

The evaluation of CT scan in renal involvement of children with non-Hodgkin′s lymphoma

作　　者：李玉华[1] 沈洁[1] 朱铭[1] 汤静燕[2] 薛惠良[2] 

机构地区：[1]上海第二医科大学附属上海儿童医学中心影像中心新华医院放射科,200092 [2]上海第二医科大学附属上海儿童医学中心影像中心新华医院小儿血液科,200092

出　　处：《中华放射学杂志》2001年第7期542-544,共3页Chinese Journal of Radiology

摘　　要：目的　了解儿童非霍奇金淋巴瘤 (NHL)肾脏浸润的发生率 ,提高对NHL肾脏浸润各种CT表现的认识。方法　复习经活检病理证实的 30例儿童NHL的临床资料 ,选出其中 10例肾脏浸润的病例 ,分析其化疗前后的变化。所有病例均行常规胸腹部CT平扫加增强。结果　两侧肾脏多发结节样浸润 6例 ,两肾多发斑片状浸润 1例 ,单侧单结节浸润 2例 ,单侧多结节浸润 1例。结论　儿童NHL肾脏浸润发生率较高 ,CT能很好显示NHL肾脏浸润 ,正确及时地诊断肾脏浸润有助于NHL的临床分期 ,尤其对以后的疗效观察更有价值 ,故对NHL患儿应常规行腹部CT平扫加增强。Objective To understand the incidence of renal involvement of children with non Hodgkin′s lymphoma and to recognize its different CT findings. Methods The thoracic and abdominal plain and contrast enhanced CT of 30 cases of NHL in children were reviewed and all cases were confirmed by pathology. The changes in both pre and post chemotherapy were analysed in the 10 selected cases with renal involvement. Results CT demonstrated 6 cases of multiple masses and 1 case of multiple patchy lesions in bilateral kidneys. Two cases of single mass and 1 case of multiple masses were detected in single kidney. Conclusion The incidence of renal involvement of children with non Hodgkin′s lymphoma is relatively high. CT can clearly demonstrate the renal involvement of NHL, which is helpful for clinical stage, especially in the evaluation of the therapeutic effects. Hence, abdominal plain and contrast enhanced CT scan should be done in children with NHL.

关 键 词：非何杰金氏淋巴瘤 肾疾病 儿童 CT 诊断 

分 类 号：R733.1[医药卫生—肿瘤] R737.11[医药卫生—临床医学]